Medicare AdvantageAdministrativeMedium impact
AB2026-03-003 Quality information
Capital Blue Cross·Provider News
Effective date
Mar 1, 2026
We identified it
Jun 20, 2026
Summary
Capital Blue Cross is continuing HEDIS medical record collection and requires providers to submit requested medical records within 5 business days at no cost. The policy also provides updated guidance on colorectal cancer screening (age 45-75) and all-cause readmission measures.
Action Required
Immediately: Ensure medical records department can respond to Capital Blue Cross HEDIS record requests within 5 business days at no cost per contract. Update staff protocols to prioritize these requests. Work with medical record vendors to ensure compliance. Contact Provider Engagement Consultant if issues arise with timely submission.